BREANNA YBELTJE BERGEVIN LMSW
NPI 1942089636
Social Worker in Boise, ID

Q: What is Breanna Bergevin's NPI number?

The NPI number for Breanna Bergevin is 1942089636. It was assigned to this individual provider in the NPPES registry on September 22, 2023.

Q: What is Breanna Bergevin's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Breanna Bergevin was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 22, 2023

148 S COLE RD, BOISE, ID 83709(208) 683-8320(208) 969-8380 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2025, Nov 25, 2025, Jul 11, 2024 (3 updates tracked since 2024).

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About Breanna Ybeltje Bergevin Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA YBELTJE BERGEVIN LMSW (NPI 1942089636) is an individual social worker in Boise, Idaho, licensed in Idaho (45391) and active in the NPI registry since September 2023. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1942089636

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameBREANNA YBELTJE BERGEVINCredential: LMSW

Location Address148 S COLE RDBoise, ID 83709-0932

Mailing Address148 S Cole RdBoise, ID 83709-0932 · (208) 683-8320 · Fax (208) 969-8380

Phone(208) 683-8320

Fax(208) 969-8380

Sole ProprietorNo

Enumeration DateSeptember 22, 2023

Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration

NPPES CertifiedDecember 23, 2025

✔ NPI 1942089636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in ID · 45391

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 45391 (ID)

148 S COLE RD, Boise, ID 83709

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Secondary Practice Locations 4

Location 1213 N Main St Ste 1BMoscow, ID 83843-2700 · Phone (208) 683-8320 · Fax (208) 969-8380

Location 2509 S Middleton Rd Ste 104Middleton, ID 83644-6047 · Phone (208) 683-8320 · Fax (208) 969-8380

Location 3496 Shoup Ave W Ste FTwin Falls, ID 83301-5043 · Phone (208) 683-8320 · Fax (208) 969-8380

Location 4411 Main St. Unit FKamiah, ID 83536 · Phone (208) 683-8320 · Fax (208) 969-8380

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA LOUISE LAFEE LMSW

Social Worker

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

KENNA BOLEN LPC, CM, CBRS

Counselor (Mental Health)

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

SHARIAH MICHELLE PHILLIPS

Case Manager/Care Coordinator

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

ALLISON NICOLE VAN DER VEEN

Case Manager/Care Coordinator

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

JUDITH CARON LCSW

Social Worker (Clinical)

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

MADISON M HENSON

Social Worker

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

DARBY FULWIDER

Case Manager/Care Coordinator

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

GERMAINE MARLO AUSTIN BSW

Peer Specialist

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Bergevin's NPI number?

The NPI number for Breanna Bergevin is 1942089636. It was assigned to this individual provider in the NPPES registry on September 22, 2023.

Where is Breanna Bergevin located?

Breanna Bergevin practices at 148 S Cole Rd, Boise, ID 83709. The listed phone number is (208) 683-8320.

What is Breanna Bergevin's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Breanna Bergevin was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.